Individual
KIMBERLY N SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
51 11TH AVE, AYNOR, SC 29511-3249
(843) 358-3700
(843) 358-3707
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17728 APRN
SC
363LF0000X
Family Nurse Practitioner
Primary
17728
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2021
—
SC
Enumeration date
02/22/2012
Last updated
02/24/2023
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